JUAN PABLO VALENZUELA (NPI# 1679974067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679974067 |
| Entity Type | Individual |
| Full Name | JUAN PABLO VALENZUELA |
| Practice Address |
300 W Mariposa Rd Nogales AZ 85621-1043 |
| Mailing Address |
70 W Camino Rancho Lucido Sahuarita AZ 85629-8971 |
| Practice Telephone | 2515998479 |
| Mailing Telephone | 2515998479 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S020303 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540616 | Juan Roberto Valenzuela | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-02-21 |
| 1508292046 | Juan Andres Valenzuela | Technician/Technologist | 2507 Madison Ave, Ogden, UT 84401-2500 | 2013-09-16 |
| 1215118013 | Juan Jose Valenzuela | Technician | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2007-11-20 |
| Street Address |
300 W MARIPOSA RD |
| City | NOGALES |
| State | AZ |
| Zip Code | 85621-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245552868 | Kenneth Sterling Shipley | Pharmacist | 300 W Mariposa Rd, Nogales, AZ 85621-1043 | 2010-02-23 |
| 1992736003 | K Mart Corp | Pharmacy | 300 W Mariposa Rd, Nogales, AZ 85621-1043 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 1568782175 | Arizona's Children Association | Clinic/Center | 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 | 2010-06-04 |
| 1811032493 | Susan M. Jaworski | Local Education Agency (LEA) | 315 Plum Street, Nogales, AZ 85621 | 2007-02-21 |
| 1194885905 | Alex Gracia | Pharmacy Technician | 839 W. Calle Chico, Nogales, AZ 85621 | 2006-12-11 |
| 1982716130 | Yvette Denise Braun | Chiropractor | 1821 N Mastick Way #1, Nogales, AZ 85621 | 2006-08-31 |
| 1043254154 | John Diaz | Emergency Medicine | 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 | 2006-06-16 |
| 1467495085 | Bart L Mc Rae | Emergency Medicine | Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 | 2006-06-13 |
| Find all providers in zip 85621 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245552868 | Kenneth Sterling Shipley | Pharmacist | 300 W Mariposa Rd, Nogales, AZ 85621-1043 | 2010-02-23 |
| 1669404554 | Jeanna Marie Szablicki | Pharmacist | 100 W White Park Dr, Nogales, AZ 85621-1021 | 2006-07-07 |
| 1205450046 | Vincent Tsang | Pharmacist | 1852 N Mastick Way, Nogales, AZ 85621-1063 | 2020-06-06 |
| 1093365421 | Cadean Daugherty | Pharmacist | 1959 N Grand Ave, Nogales, AZ 85621-1341 | 2019-09-17 |
| 1700367992 | Kristin Fung | Pharmacist | 100 W White Park Dr, Nogales, AZ 85621-1021 | 2018-08-24 |
| 1841779493 | Sunghyun Kim | Pharmacist | 1959 N Grand Ave, Nogales, AZ 85621 | 2018-08-13 |
| 1578985008 | Enrique Ernest Durazo | Pharmacist | 100 W White Park Dr, Nogales, AZ 85621-1021 | 2014-01-17 |
| 1437480415 | Estela G Taylor | Pharmacist | 1959 N Grand Ave, Nogales, AZ 85621-1341 | 2010-01-14 |
| 1992033310 | Animesh Tiwari | Pharmacist | 1959 N Grand Ave, Nogales, AZ 85621-1341 | 2009-11-23 |
| 1477881811 | Annetta Sophia Jurado | Pharmacist | 1959 N Grand Ave, Nogales, AZ 85621-1341 | 2009-11-23 |
| Find all providers in NOGALES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.